Evidence map›Paper›PMID 32570882›Full record

ArticleJournal of clinical medicine2020

Cholesterol in Relation to COVID-19: Should We Care about It?

Dina Radenkovic, Shreya Chawla, Matteo Pirro, Amirhossein Sahebkar, Maciej Banach

Registry-linked trialOpen access · goldAbstract readEditorial
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04799444 (Complications Post COVID-19 - Observational Study in Children and Adults), which is not on this map. Cited by 78 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04799444 unknown statusnot on this map

Complications Post COVID-19 - Observational Study in Children and Adults

Typeobservational_patient_registrySponsorPolish Mother Memorial Hospital Research InstituteRan2020 to 2022Enrolled500ConditionsCovid19
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 3 syntheses or guidelines pooled it, 156 citations in OpenAlex.

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  19. Distinct Features of Vascular Diseases in COVID-19.Journal of inflammation research · 2023
    Review
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18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 5 countries.

Dina RadenkovicGuy's and St Thomas' Hospital, London SE1 7EH, UK.ORCID 0000-0003-1355-6967
Shreya ChawlaFaculty of Life Sciences and Medicine, King's College London, London SE5 9NU, UK.
Matteo PirroUnit of Internal Medicine, Angiology and Arteriosclerosis Diseases, Department of Medicine, University of Perugia, 06123 Perugia, Italy.
Amirhossein SahebkarHalal Research Center of IRI, FDA, Tehran 314715311, Iran.ORCID 0000-0002-8656-1444
Maciej BanachDepartment of Hypertension, WAM University Hospital in Lodz, Medical University of Lodz (MUL), Zeromskiego 113, 90-549 Lodz, Poland.ORCID 0000-0001-6690-6874
King's College London · GBMashhad University of Medical Sciences · IRMedical University of Lodz · PLSt Thomas' Hospital · GBUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current data suggest that infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causing corona virus disease-19 (COVID-19) seems to follow a more severe clinical course in patients with cardiovascular disease (CVD), hypertension, and overweight/obesity. It appears that lipid-lowering pharmacological interventions, in particular statins, might reduce the risk of cardiovascular complications caused by COVID-19 and might potentially have an additional antiviral activity. It has been shown that high cholesterol levels are associated with more lipid rafts, subdomains of the plasma membrane that can harbour angiotensin-converting enzyme 2 (ACE2) receptors for the S-protein of SARS-CoV-2. Evidence of the importance of cholesterol for viral entry into host cells could suggest a role for cholesterol-lowering therapies in reducing viral infectivity. In addition to their lipid-lowering and plaque-stabilisation effects, statins possess pleiotropic effects including anti-inflammatory, immunomodulatory, and antithrombotic activities. Lower rates of mortality and intubation have been reported in studies investigating statin therapy in influenza infection, and statin therapy was shown to increase viral clearance from the blood during chronic hepatitis C infection. Statins may also serve as potential SARS-CoV-2 main protease inhibitors, thereby contributing to the control of viral infection. In this review, we elaborate on the role of cholesterol level in the process of the coronavirus infection and provide a critical appraisal on the potential of statins in reducing the severity, duration, and complications of COVID-19.

Indexed as

atherosclerosischolesterolcoronavirusCOVID-19lipid-lowering therapySARS-CoV-2statins

Identifiers

PMID32570882
PMCPMC7356583
OpenAlexW3035931817

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.